腹腔镜技术在小肠疾病诊治中的应用

目的 探讨腹腔镜技术在小肠疾病诊治中的应用。方法总结分析2000年5月至2004年2月解放军总医院收治的33例小肠疾病患者行腹腔镜探查和手术治疗的效果。结果33例患者手术均顺利完成，平均手术时间65min，术中出血量平均30ml。术后疼痛轻微，排便、排气时间平均32h，平均住院时间7d。术后病理检查诊断为小肠间质瘤24例（其中6例为低度恶性间质瘤），美克尔憩室5例，小肠恶性淋巴瘤4例。所有患者均痊愈出院，随访10-36个月未见复发。结论腹腔镜技术在小肠疾病诊治中具有良好效果，腹腔镜小肠手术是一种安全、有效的微创手术方法，值得临床推广应用。

Application of Laparoscopy in Diagnosis and Treatment of Small Bowel Diseases

Objective To investigate the value of laparoscopy in the diagnosis and treatment of small bowel diseases.Methods Data of thirty-three cases of small bowel diseases receiving laparoscopy in this hospital from May 2000 to February 2004 were analyzed retrospectively.Results All cases underwent laparoscopy successfully and no complication was observed.The mean operative time was 65 min.The mean intraoperative blood loss was 30 ml.Postoperative pain was mild.Flatus and feces were passed about 32 hours after treatment and the mean postoperative hospital stay was 7 days.The pathologic examination showed: 18 benign and 6 low-grade malignant stromal tumors,5 Meckel's diverticula and 4 Non-Hodgkin's lymphomas.No recurrence occurred in 33 cases during the follow-up for 10 to 36 months.Conclusion Laparoscopy is a very useful and minimally invasive technique in the diagnosis and treatment of small bowel diseases.It is simple,safe,effective and worthy of be clinically applied.